Film Critique of the Cervical and Thoracic Spine
Film Critique of the Cervical and Thoracic Spine
AP C-spine
the T1-T2 articulation should be seen on the film
the mastoid processes should be symmetrical
the mandible should superimpose the base of the skull and C1 and/or C2
the intervertebral disk spaces should be clearly demonstrated
AP open-mouth odontiod
the entire atlas and axis should be included on the film
C1 should be in the center of the film
the lateral masses should be equal distances from the rami of the mandible
the lower edge of the incisors should be even with the base of the skull
zygopophyseal joints should be visualized between C1 and C2
Oblique C-spine
C1-C7 should be included on the film
C1 should be demonstrated without superimposition of the occipital bone
the intervertebral disk spaces should be clearly demonstrated
the mandible should not be superimposed over the vertebrae
when doing PA obliques, intervertebral foramina furthest from the film is demonstrated
when doing AP obliques, intervertebral foramina closest to the film is demonstrated
Lateral C-spine
C1 – C7 should be included on the film
If the C7-T1 disk space is not visualized, perform additional “swimmer’s” view
zygapophyseal joint spaces, intervertebral disk spaces, and spinous processes of C2-C7 demonstrated
vertebrae should be free of superimposition of the mandible
the EAM’s should be superimposed
Swimmer’s view
C5-T4 should be included on the film (depending on Radiologist’s preference)
C7-T1 disk space should be adequately penetrated with proper density
humeral heads should be separated
AP T-spine
vertebral bodies of C7-L1 should be included
sternoclavicular joints should be symmetrical
spinous process should align with the middle of the vertebrae
intervertebral disk spaces should be clearly demonstrated
Lateral T-spine
vertebral bodies of T3-L1 should be visualized with adequate penetration and density
posterior ribs should be superimposed
intervertebral disk spaces should be clearly demonstrated
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